in Matawan - Mental Health

- NPI 1952568669

is a Mental Health in Matawan, New Jersey. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for is 1952568669. The last update date is .

's current location address is 4122 Route 516, Matawan, New Jersey. You can contact this provider via phone number 7326794500 and fax number 7326794549. The mailing address for is 4122 Route 516, Matawan, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 4122 Route 516, Matawan, New Jersey
Phone Number 7326794500
Fax Number 7326794549
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1952568669
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 4122 Route 516
City Matawan
State New Jersey (NJ)
Post Code 77477031
Phone Number 7326794500
Fax Number 7326794549

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 37PC00335300
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21806 NJ --
BA526562 NJ MEDICARE PROVIDER NUMBER

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